NPI | 1417699471 |
---|---|
Entity Type | Organization |
Authorized Contact | MALLORY PRINDABLE Mental Health Therapist/Owner 618-292-8964 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-04-11 |
Last Update Date | 2023-01-09 |